Jeffery Blake Johnson, OD
Jeffery Blake Johnson is a Optometrist provider (Optometrist) practicing in Pine Bluff, AR, registered in the NPPES registry with NPI 1013229442 since 2010. The credential OD stands for Doctor of Optometry.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1013229442 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jeffery Blake Johnson |
| Credential | OD |
| Sex | Male |
| Practice address | 3805 WEST 28TH, Pine Bluff, AR, 71603 |
| Phone | 8705364100 |
| Fax | 8705369020 |
| Enumeration date | 2010-07-14 |
| Last updated in NPPES | 2014-03-07 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 2693 | AR |
| 152W00000X | Optometrist | Secondary | 046.010370 | IL |
OD — Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential
Copy-ready billing details
Provider: Jeffery Johnson, OD NPI: 1013229442 Taxonomy: 152W00000X (Optometrist) Address: 3805 WEST 28TH, Pine Bluff, AR, 71603
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1710101977 | Byron Wilkes | Individual | Ophthalmology Physician | Pine Bluff, AR |
Verify this record
Cross-check NPI 1013229442 against the authoritative CMS record: view Jeffery Blake Johnson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-03-07.